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KnowledgebaseHead & Neck OncologySalivary Gland Surgery: Parotidectomy & Nerve Monitoring
Head & Neck Oncology

Salivary Gland Surgery: Parotidectomy & Nerve Monitoring

Surgery is the primary treatment for salivary gland tumors. For parotid masses, this involves a superficial or total parotidectomy. The critical aspect of this surgery is locating, dissecting, and preserving the five branches of the facial nerve that control facial expression.

Common Symptoms & Warnings

⚠️ Temporary Facial Weakness

Mild facial weakness after surgery due to nerve manipulation, which usually recovers fully.

Surgical & Therapeutic Treatments

πŸ›‘οΈ Superficial Parotidectomy

Removing the outer part of the gland containing the tumor, keeping the facial nerve intact.

πŸ›‘οΈ Total Parotidectomy

Removing the entire gland, required if the tumor is located deep to the facial nerve.

πŸ›‘οΈ Intraoperative Nerve Monitoring

Using electrodes during surgery to trace nerve branches and verify their electrical conductivity.

Frequently Asked Questions

If the tumor is benign or early-stage and the nerve is preserved, permanent drooping is rare. Temporary weakness is common and resolves in weeks.
A rare postoperative side effect where sweating occurs on the cheek while eating, caused by salivary nerve fibers growing back and connecting to sweat glands. It can be treated easily.

Concerned About Symptoms or Have a Malignant Biopsy?

For diagnosed head and neck malignancies or suspicious non-healing lesions, Dr. Saikat Saha's clinic prioritizes appointments within 48 hours. Bypassing the standard queue ensures timely oncosurgical staging and surgical margins planning.

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